Maybe a person who knows he's insane and feels insane is actually more in touch with reality than a sane person. Maybe we are all batshit crazy. This is my "I'm tired and this is what my brain is telling me" post for the day so it may be a little unhinged but maybe it's only when tired that I see through the cracks. But then sanity is more than simply seeing things clearly. A lot of poets and artists do that. Maybe it's adjusting to the reality of the situation.
A lot of people who are normal do things that are utterly insane.
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JMO but having a sticky work/personal/familial relationship with someone with bona fide serious mental illness or personality disorder will disabuse of you these notions.
One of the downsides of the Internet is that it allows like-minded people to form communities, and sometimes those communities are stupid.